Age 37, tired eyes. Blepharoplasty or forehead lift? (photo)
Doctor Answers (7)
Brow lift and bleph
Upper eyelids versus a brow lift
The primary goal of an upper eyelid blepharoplasty is to remove hooded skin touching the eyelashes. The incision is placed in the upper eyelid crease.
The primary goal of lower eyelid blepharoplasty surgery is to remove a portion of the 3 fatty compartments on the lower lids creating the puffiness look.
For many examples, please see the link below to our eyelid surgery photo gallery
Tired eyes- blepharoplasty or forehead lift?
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Blepharoplasty or forehead lift?
The eyebrow position is excellent if your eyebrows are in the relaxed position and if no Botox has been recently injected. I would guess that if you looked at photographs of your eyebrow position 10 to 15 years ago that they would be at a similar height. (See the link below for more information on brow position as we age.)
Elevating your eyebrows would alter your appearance, and not in a good way, in my opinion. It does appear you have excess skin in the upper eyelid area and a conservative removal of skin may be indicated, thereby providing a cleaner, refreshed look. I would need to see the area up close to determine if fat augmentation and/or a lower blepharoplasty would be of benefit as well.
I hope this helps.
Upper Eyelid Blepharoplasty for Tired Eyes
Thank you for sharing your photo. It looks as if your brows are in good position and I would not recommend a brow lift based upon that one photograph. You do have a small amount of redundant skin, particularly towards the outsides of your eyes, and this skin is partially covering your upper eyelid crease (double eyelid). In an upper eyelid blepharoplasty the excess skin would be removed, which would help bring out your upper eyelid creases.
The other thing that you may consider is having some filler placed under your eyes. You have a slight hollowness in the under-eye area next to your nose, and a hyaluronic acid filler in this area such as Restylane could really help smooth the transition from your cheek to your lower eyelid, making you look brighter and less tired. Fillers can last 9 or longer months in this area, and they can also be removed if you are unhappy with the appearance.
You have very beautiful eyes and I would not recommend anything dramatic. A subtle procedure would help draw attention away from the “tired” aspects of your eyes and bring out their natural qualities.
Tired of people saying I look tired
If you would like to try a more conservative approach you could start with botox around your "crow's feet" to help lift and brighten your eyes. Botox does not give as much of a result and only lasts 3-4 months. Hope you find this information helpful.